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Year : 2015  |  Volume : 49  |  Issue : 5  |  Page : 19-26

Contemporary solutions for managing Class III malocclusion

Professor and Head, Department of Orthodontics, Ragas Dental College and Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Nathamuni Rengarajan Krishnaswamy
Ragas Dental College and Hospital, 2/102, East Coast Road, Uthandi, Chennai . 600 119, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-5742.171189

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Although patients with Class III malocclusions constitute a small percentage of the average orthodontic practice, providing them with optimal treatment is a daunting task. The treatment approach is dependent upon the growth status of the individual and the severity of the skeletal dysplasia. For growing individuals, facemask therapy to protract the maxilla is ineffective because of its dependence on dental anchorage to bring forth skeletal correction. Orthodontic camouflage in nongrowing mild skeletal Class III individuals is met with limited success because of the anatomical boundaries and the conventional biomechanics. Orthognathic surgery to correct the maxillomandibular relations is time-consuming, and the facial esthetics is compromised during the orthodontic decompensation period. Contemporary solutions to overcome these limitations are now viable with the use of temporary anchorage devices and by performing surgery prior to orthodontic decompensation. The rationale for employing these contemporary approaches will be discussed in this study with illustrative cases.

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